Organization
RESTORATIONS ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN WILSON (DIRECTOR)
(662) 303-1800
Entity
Organization
Contact information
Practice address
1766 OLD LELAND RD, GREENVILLE, MS 38703
(662) 303-1800
Mailing address
1766 OLD LELAND RD, GREENVILLE, MS 38703-2742
(662) 303-1800
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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